Preparing for your appointmentBy Mayo Clinic Staff
If you have acne that's not responding to self-care and over-the-counter treatments, make an appointment with your doctor. Early, effective treatment of acne reduces the risk of scarring and of lasting damage to your self-esteem. After an initial examination, your doctor may refer you to a specialist in the diagnosis and treatment of skin conditions (dermatologist).
Here's some information to help you get ready for your appointment.
What you can do
- List your key medical information, such as other conditions with which you've been diagnosed and any prescription or over-the-counter products you're using, including vitamins and supplements.
- List key personal information, including any major stresses or recent life changes.
- List questions to ask your doctor. Creating your list of questions in advance can help you make the most of your time with your doctor.
Below are some basic questions to ask your doctor about acne. If any additional questions occur to you during your visit, don't hesitate to ask.
- What treatment approach do you recommend for me?
- If the first treatment doesn't work, what will you recommend next?
- What are the possible side effects of the medications you're prescribing?
- How long can I safely use the medications you're prescribing?
- How soon after beginning treatment should my symptoms start to improve?
- When will you see me again to evaluate whether my treatment is working?
- Is it safe to stop my medications if they don't seem to be working?
- What self-care steps might improve my symptoms?
- Do you recommend any changes to my diet?
- Do you recommend any changes to the over-the-counter products I'm using on my skin, including soaps, lotions, sunscreens and cosmetics?
What to expect from your doctor
Your doctor is likely to ask you a number of questions. Being ready to answer them may reserve time to go over any points you want to talk about in-depth. Your doctor may ask:
Jan. 20, 2015
- When did you first develop this problem?
- Does anything in particular seem to trigger an acne flare, such as stress or — in girls and women — your menstrual cycle?
- What medications are you taking, including over-the-counter and prescription drugs as well as vitamins and supplements?
- In girls and women: Do you use oral contraceptives?
- In girls and women: Do you have regular menstrual periods?
- In girls and women: Are you pregnant, or do you plan to become pregnant soon?
- What types of soaps, lotions, sunscreens, hair products or cosmetics do you use?
- How is acne affecting your self-esteem and your confidence in social situations?
- Do you have a family history of acne?
- What treatments and self-care steps have you tried so far? Have any been effective?
- AskMayoExpert. Acne (adult and pediatric). Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2014.
- Tea tree oil. Natural Medicines Comprehensive Database. http://www.naturaldatabase.com. Accessed June 24, 2014.
- Alpha hydroxy acids. Natural Medicines Comprehensive Database. http://www.naturaldatabase.com. Accessed June 24, 2014.
- Zinc. Natural Medicines Comprehensive Database. http://www.naturaldatabase.com. Accessed June 24, 2014.
- Bovine cartilage. Natural Medicines Comprehensive Database. http://www.naturaldatabase.com. Accessed June 24, 2014.
- Saccharomyces boulardii. Natural Medicines Comprehensive Database. http://www.naturaldatabase.com. Accessed June 24, 2014.
- Pizzorno JE, ed. Textbook of Natural Medicine. 4th ed. St. Louis, Mo.: Elsevier; 2013.
- Sawni A, et al. Complementary, holistic and integrative medicine: Acne. Pediatrics in Review. 2013;34:91.
- Lebwohl MG, et al. Treatment of Skin Disease: Comprehensive Therapeutic Strategies. 4th ed. Philadelphia, Pa.: Saunders Elsevier; 2014.
- Hajheydari Z, et al. Effect of aloe vera topical gel combined with tretinoin in treatment of mild and moderate acne vulgaris. Journal of Dermatologic Treatment. 2014;25:123.
- Eichenfield LF, et al. Evidence-based recommendations for the diagnosis and treatment of pediatric acne. Pediatrics. 2013;131:s163.
- Questions and answers about acne. National Institute of Arthritis and Musculoskeletal and Skin Diseases. http://www.niams.nih.gov/Health_Info/Acne/default.asp. Accessed June 24, 2014.
- Thiboutot D, et al. Pathogenesis, clinical manifestations and diagnosis of acne vulgaris. http://www.uptodate.com/home. Accessed June 24, 2014.
- Emmy Graber. Treatment of acne vulgaris. http://www.uptodate.com/home. Accessed June 24, 2014.
- Dover JS, et al. Light-based, adjunctive and other therapies for acne vulgaris. http://www.uptodate.com/home. Accessed June 24, 2014.
- Pride HB, et al. What's new in pediatric dermatology?: Part II. Treatment. Journal of the American Academy of Dermatology. 2013;68:899.
- Garner SE, et al. Minocycline for acne vulgaris: Efficacy and safety. Cochrane Database of Systematic Reviews. http://ovidsp.tx.ovid.com/sp-3.12.0b/ovidweb.cgi. Accessed June 24, 2014.
- Titus S, et al. Diagnosis and treatment of acne. American Family Physician. 2012;86:734.
- Goldsmith LA, et al., eds. Fitzpatrick's Dermatology in General Medicine. 8th ed. New York, N.Y.: The McGraw-Hill Companies; 2012. http://accessmedicine.mhmedical.com/book.aspx?bookId=392. Accessed June 24, 2014.
- Zouboulis CC. Acne as a chronic systemic disease. Clinics in Dermatology. 2014;32:389.
- Caperton C, et al. Double-blind, placebo-controlled study assessing the effect of chocolate consumption in subjects with a history of acne vulgaris. The Journal of Clinical and Aesthetic Dermatology. 2014;7:19
- Han Song B, et al. Photodynamic therapy using chlorophyll-a in the treatment of acne vulgaris: A randomized, single-blind, split-face study. Journal of the American Academy of Dermatology. In press. Accessed June 24, 2014.
- Wheeland R, et al. Safety and effectiveness of a handheld blue light device for self-treatment of mild to moderate acne. Journal of the American Academy of Dermatology. 2012;66(suppl):AB18.
- England Owen C. Treating acne with high-dose isotretinoin. JAMA. 2014;311:2121.
- Murase JE, et al. Safety of dermatologic medications in pregnancy and lactation. Journal of the American Academy of Dermatology. 2014;70:401.e1
- Lam C, et al. Contraceptive use in acne. Clinics in Dermatology. In press. Accessed June 24, 2014.
- Brown MM, et al. Quality of life in pediatric dermatology. Dermatologic Clinics. 2013;31:211.
- Williams HC, et al. Acne vulgaris. Lancet. 2012;379:361.
- FDA drug safety communication: FDA warns of rare but serious hypersensitivity reactions with certain over-the-counter topical acne products. U.S. Food and Drug Administration. http://www.fda.gov/Drugs/DrugSafety/ucm400923.htm. Accessed June 26, 2014.
- Brent A. Bauer, M.D. (expert opinion). Mayo Clinic, Rochester, Minn. July 2, 2014.
- Tetracycline. Micromedex 2.0 Healthcare Series. http://www.micromedexsolutions.com. Accessed Sept. 30, 2014.
- Filling in wrinkles safely. U.S. Food and Drug Administration. http://www.fda.gov/ForConsumers/ConsumerUpdates/ucm049349.htm. Accessed Sept. 9, 2014.